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Autism spectrum disorders, maternal char vacteristics and obstetric complications among singletons born in Alberta, Canada
Journal article   Peer reviewed

Autism spectrum disorders, maternal char vacteristics and obstetric complications among singletons born in Alberta, Canada

I. Burstyn, F. Sithole and L. Zwaigenbaum
Chronic diseases and injuries in Canada, v 30(4)
Sep 2010

Abstract

Objective To determine whether certain maternal characteristics and obstetric complications are associated with increased risk of autism spectrum disorders (ASD) in children. Methods Provincial delivery records identified the cohort of 218 890 singleton live births in Alberta, Canada,between January 1, 1998, and December 31, 2004. These were followed-up for ASD via ICD-9 diagnostic codes assigned by physician billing until March 31, 2008. Maternal and obstetric risk factors were also extracted from PDR. Results Prevalence and incidence of ASD in Alberta are in line with those reported elsewhere and suggest recent increases in rate of diagnosis and/or incidence. Boys have 5-fold higher prevalence than girls. The peak age of diagnosis occurs at age 3 years. Relative risk modelling indicates that the risk of ASD is elevated among children of older mothers and those who experience specific pregnancy and birth complications. Conclusion Certain maternal characteristics and obstetric complications are associated with ASD in children. We identified lower rates of ASD and later age at diagnosis among children of Aboriginal mothers that requires further research.

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